Download Unmet Need in Psychiatry: Problems, Resources, Responses by Gavin Andrews, Scott Henderson PDF
By Gavin Andrews, Scott Henderson
Few international locations provides enough overall healthiness providers for the entire mentally unwell, but none have constructed a rational process to make a decision who can be handled. This cutting edge booklet considers how you can get to the bottom of this trouble. The questions are transparent: What should still the factors be for deployment of scarce remedy assets? How will we be certain and observe such standards? What are the moral implications? during this pioneering paintings, a global crew of eminent psychiatrists, epidemiologists, overall healthiness directors, economists and healthiness planners research those questions. This quantity is split into 4 components: half I. Unmet want: Defining the matter; half II. Unmet want: basic difficulties and options; half III. Unmet want in individuals with particular problems; and half IV. Unmet want: particular concerns.
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Additional resources for Unmet Need in Psychiatry: Problems, Resources, Responses
Sample text
Service utilization data for met and unmet need are not yet available and data for met un-need were not collected. The World Health Organization and Harvard University have established an International Consortium of Psychiatric Epidemiology which, by pooling the data from a large number of international surveys, is able to explore inter-country similarities and differences in prevalence rates and health delivery systems (see Chapter 7). It is regrettable that the UK survey did not use the CIDI, which is now the standard world instrument, to enable the UK results to be compared with the results from other countries.
Determinants of physician utilization: approach to a service-oriented classiWcation of symptoms. Medical Care, 10, 300–9. Hunt, C. & Andrews, G. (1992). Dropout rate as a performance indicator in psychotherapy. Acta Psychiatrica Scandinavica, 85, 275–8. Hunt, C. & Andrews, G. (1998). Long-term outcome of panic disorder and social phobia. Journal of Anxiety Disorders, 12, 395–406. , Meltzer, H. & Petticrew, M. (1997). The national psychiatric morbidity surveys of Great Britain. Psychological Medicine, 27, 765–74.
The SF12 disability scale (Ware, Kosinski & Keller, 1996) and two questions on disability adapted from the NCS (Kessler & Frank, 1997) were asked of everyone before any disorders were identiWed. 4 Disability days (total) (’000,000) Note: The eVect of cormorbidity with other mental and physical disorders was not controlled. 1-month prevalence: % of adult population. 2. ’ The sum of these is called disability days. When the presence of a disorder seemed likely, respondents were asked the disability days question with respect to the group of symptoms just elicited.